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College  of  J^ftpgicianfi  anb  ^urgeong 


^,w'',-'-'^i:' 


PNEUMONIA 


AND 


TYPHOID  FEVER:  A  STUDY. 


BY 


DR.    CHARLES   E.   PAGE, 


AUTHOR  OF 


"  Natural   Cure   of   Consumption,"  "  How  to   Treat  the 
Baby,"  etc.     (See  fourth  page  of  cover.) 


gtourt^  mbition,  '^evi^eb. 


BOSTON: 
DAMRELL  &  UPHAM,  283  WASHINGTON  STREET. 


The  first  edition  of  this  pamphlet  was  noticed  by  the  Boston 
Sunday  Globe,  as  follows : 

[From  the  Boston  Sunday  Globe,  May  to,  iSgr.l 

"Pneumonia  and  Typhoid  Fever;  a  Study." 

If  the  author  of  this  little  pamphlet  had  used  the  term  "  an 
expose"  instead  of  *'  a  study,"  it  would  have  been  quite  as  appro- 
priate. He  has  quoted  freely  from  the  private  utterances  of  physi- 
cians of  the  highest  repute  facts  that  were  never  designed  for  the 
ears  of  the  public,  —  which  does  not  take  much  interest  in  medical 
literature  in  general, — and  in  giving  us  the  cream  of  the  best 
thought  of  the  foremost  medical  men  in  this  country  and  Europe, 
backed  up  by  his  own  most  emphatic  indorsement,  he  has  certainly 
earned  the  gratitude  of  all  who  employ  or  ever  expect  to  employ  a 
family  physician,  if  not  that  of  the  doctors  themselves. 

These,  however,  cannot  afford  to  miss  reading  this  caustic  little 
monogram. 

If  typhoid  fever  is  really  a  readily  curable  disease,  and  a  certain 
method  of  treatment  will  cure  nearly  every  case  (that  has  not  been 
made  incurable  by  neglect  or  bad  treatment),  while  the  usual  treat- 
ment is  fatal  to  the  extent  of  at  least  one  fourth  of  all  cases,  it  is 
high  time  that  the  public  be  made  aware  of  the  fact,  for  it  means 
simply  this:  That  in  every  i,ooo  deaths  from  this  disease  over  900 
are  due  to  ignorance  on  the  part  of  the  medical  attendants. 

The  system  recommended  is,  we  are  told,  practised  by  the  most 
famous  physicians  of  Germany,  and  here  and  there  one  in  this 
country,  including,  of  course,  the  author,  who,  while  reading  old- 
school,  routine  practitioners  a  somewhat  humiliating  lesson,  makes 
no  claim  to  exclusive  knowledge,  but  simply  the  desire  to  speed  a 
much-needed  reform. 

["Pneumonia  and  Typhoid  Fever;  a  Study."  Dr.  Charles  E. 
Page.    Boston:  Damrell    &  Upham.     Pp.28.    Paper,  25c. 


PNEUMONIA 


AND 


TYPHOID  FEVER:  A  STUDY. 


BY 


DR.    CHARLES    E.    PAGE, 


AUTHOR   OF 


"  Natural    Cure    of    Consumption,"   "  How   to    Treat   the 
Baby,"   etc.      (See  fourth  page  of  cover.) 


^ourt^  ^bttion,  '^evx&eb. 


BOSTON : 

DAMRELL  &  UPHAM,  283  WASHINGTON  STREET. 

1891. 


Copyright,  1891, 
BY    DR.    C.    E.    PAGE. 


ZS 


00 
C2 

>- 
O 

PREFACE. 

"  A  man  is  a  fool  or  his  own  physician  at  thirty,"  said 
Tacitus.  But  this  is  putting  it  altogether  too  strong. 
Although  most  persons  may  learn  to  do  certain  things 
that  'seem  useful,  and  to  avoid  other  certain  things  that 
"  disagree,"  it  is  practically  impossible  for  busy  men  and 
women,  in  this  driving  age,  either  to  learn  enough  of 
the  laws  of  health,  or  to  practise  sufficient  self-denial, 
to  prevent  disease.  Hence,  old  and  young  are  subject 
to  all  manner  of  attacks.  They  may  be  deemed  suffi- 
ciently fortunate,  then,  if  the  family  physician  is  one 
well  skilled  in  the  most  approved  methods  of  treatment. 

CHARLES  E.  PAGE. 

47  Rutland  St.,  Feb.  23,  1891. 


AUTHORITIES  QUOTED. 


Simon  Baruch,  M.  D.,  New  York  yuvenile  Asylum  and 
Manhattan  General  Hospital^  New  York, 

George  L.  Pea  body,  M.  D.,  Prof,  of  Materia  Medica 
and  Therapeutics  in  the  College  of  Physicians  and  Sur- 
geons, and  attending  physician  to  the  New  York  and  the 
Bellevue  Hospitals, 

J.  C.  Wilson,  M.  D.,  of  the  German  Hospital,  Phila- 
delphia, 

and  the  following  eminent  German  physicians  : 
Dr.  Brand,  of  Stettin, 
Dr.  Juergensen,  of  Tubingen, 
Dr.  Liebermeister, 
Dr.  Ziemsen,  and 
Dr.  Vogl,  chef  of  the  Garrison  Hospital,  Munich. 

Note. — It  may  not  be  amiss  to  state  for  the  benefit  of  the  lay 
reader,  what  all  well-informed  medical  men  will  recognize  at  a 
glance,  that  the  authorities  named  above  are  all  of  them  front- 
rank  men  of  the  regular,  or  allopathic  school.  And  it  is  only  fair 
to  say  of  the  homoeopaths,  that  there  is  an  increasing  number  from 
amongst  their  foremost  practitioners,  also,  who  fully  subscribe  to 
the  principles  set  forth  in  this  little  pamphlet. 


TYPHOID  FEVER:  A  STUDY, 

By  Dr.  C.  E.  Page. 


^^  If  the  right  theory  should  ever  be  discovered,  we  shall  know  it  by  this 
token:  that  it  will  solve  many  riddles.''^  —  Emerson. 

While  this  treatise  will  deal  chiefly  with  the 
question  of  typhoid  fever,  I  wish,  at  the  outset,  to 
say  that  the  principle  involved  is  practically  the 
same  in  all  the  zymotic  diseases,  comprising  those 
which  are  epidemic^  endemic,  and  contagious,  as, 
for  example,  measles,  scarlet  fever,  influenza  ("  la 
grippe"),  rheumatic  fever,  pneumonia,  diphtheria, 
tonsilitis,  puerperal  fever,  peritonitis  (inflammation 
of  the  peritoneum,  popularly  called  "inflammation 
of  the  bowels "),  etc.,  in  fact,  all  acute  disorders 
attended  with  high  temperature. 

Dr.  Simon  Baruch,*  a  prominent  New  York 
physician,  of  the  regular  school,  recently  delivered 
an  address  before  a  body  of  New  York  physi- 
cians, in  which  he  reviewed  **the  present  status 
of  water  as  a  therapeutic  measure."  With  a  vast 
array  of  statistics,  which,  as  he  truly  declared, 
"  could  not  be  controverted,"  he  showed  conclu- 
sively that  the  usual  treatment   for  typhoid  fever 


*  S.    Baruch,  M.  D.,  attending  physician  to  the  New  York  Ju- 
venile Asylum  and  Manhattan  General  Hospital. 


was  a  piece  of  wretched  blundering  that  must  be 
thrown  aside  ;  while,  on  the  other  hand,  the  new 
treatment,  which  he  described  at  length,  was  shown 
to  be  worthy  of  all  acceptation,  and,  jn  fact,  that  it 
was  what  we  must  adopt  or  be  driven  to  the  wall. 

Dr.  Baruch  reminded  his  hearers  that  the 
records  of  the  Board  of  Health,  New  York  (1876 
to  1885),  show  7,712  cases  of  typhoid  fever,  with 
3,184  deaths;  according  to  which,  41  die  out  of 
every  100  patients  treated. 

In  hospital  practice,  the  results  are  less  disas- 
trous, but  still  even  these  are  sickening.  Dr.  Dela- 
field,  in  an  instructive  paper  on  typhoid  fever,  read 
before  the  New  York  Academy  of  Medicine,  states 
that  the  mortality  in  our  city  hospitals  from  1878 
to  1885  averaged  24.66  per  cent.,  or  a  trifle  less 
than  25  deaths  out  of  every  100  cases,  which  is 
still  an  appalling  and  outrageous  death-rate,  in 
view  of  the  results  achieved  by  the  new  method 
of  treatment. 

"/  am  convinced,'  says  Dr.  Baruch  (and  the 
italics  are  his  own),  ''  by  personal  observation  and 
inquiry,  that  this  mortality  is  equalled  also  in 
private  practice  in  this  city.  Shall  we,  then," 
he  asks  his  brother  physicians,  "stand  idle,  and 
continue  the  expectant  plan  of  treatment  now  in 
vogue,  when  these  appalling  figures  stare  us  in  the 


face,  or  shall  we  be  admonished  by  these  to  search 
for  the  reasons,  and,  if  possible,  secure  some 
method  of  diminishing  this  fearful  loss  of  life  ?  " 

Those  of  my  brother  physicians  who  are  at  all 
familiar  with  the  subject  will  agree  with  me  that 
we,  in  Boston,  have  little  to  boast  of  in  comparing 
the  records  of  our  own  Board  of  Health  with  those 
of  New  York,  Philadelphia,  and  the  other  great 
cities  of  the  Union. 

Under  the  prevailing  treatment  about  one  fourth 
of  all  the  cases  succumb  to  an  attack  of  typhoid 
fever  or  pneumonia.  The  survivors  usually  have 
a  long,  painful,  and  expensive  sickness,  and  quite 
a  proportion  of  these  are  seriously  disordered  for 
months  after  leaving  their  beds  ;  all  of  which  is  in 
quite  marked  contrast  to  the  results  following 
hydrotherapeutic  methods,  in  which  the  rule  is, 
"  Short  sickness  and  complete  recovery." 

Now,  I  would  ask  every  one  who  may  chance  to 
read  this  little  book, — and  it  has  not  been  pub- 
lished exclusively  for  the  medical  profession,  for  I 
hold  that  in  proportion  to  the  people's  knowledge 
of  these  important  matters  will  they  be  prepared 
to  discriminate  wisely  as  to  the  qualifications  of 
competent  physicians, —  Have  you  ever  had  typhoid 
fever,  pneumonia,  scarlet  fever,  **  la  grippe,"  or  any 
other  serious  acute  disorder  ? 


Have  you- ever  lost  a  beloved  friend,  or  a  member 
of  your  own  family,  by  any  one  of  these  diseases? 
Has  any  one  dear  to  you  had  a  long  and  painful 
sickness  ?  Do  you  realize  that  a  repetition  of  such 
experiences  is  likely  to  occur  at  any  time  ?  If  so, 
you  may  readily  conceive  that  it  is  worth  your  while 
to  examine  this  matter  with  some  degree  of  care. 

If  one  of  the  results  of  this  study  is  to  make  the 
people  more  exacting  in  their  demands  upon  their 
medical  attendants,  it  will  prove  a  most  wholesome 
stimulus  to  the  profession. 

Have  we  indeed  discovered  a  method  of  dimin- 
ishing this  fearful  loss  of  life  ? 

"  There  is,  happily,  such  a  method,''  says  Dr. 
Baruch  ;  "  and  I  desire  to  ask  your  serious  consid- 
eration of  it." 

**  It  has  been  clearly  shown,"  he  continues,  "by 
the  statistics  of  Liebermeister,  Brand,  Ziemsen,  and 
others,  that  the  cold-water  treatment,  even  in  its 
half-hearted,  modified  form,  as  now  practised  in 
many  hospitals  in  Germany,  has  reduced  the  mor- 
tality from  21  per  cent  to  7  per  cent,  the  basis  of 
these  statistics  beifig  19,017  carefully  gathered 
cases  of  typhoid  fever. 

"  But  this  is  not  all.  Brand  has  two  years  ago 
obtained  from  twenty-three  German  and  French 
sources,  aggregating  5,573  cases,  statistics  which 


have  not  and  cannot  be  controverted,  by  which  it 
is  clearly  demonstrated  that  this  treatment,  as 
originally  recommended  by  him  [that  is,  not  in 
the  'half-hearted'  form]  in  1861,  has  reduced 
the  mortality  in  typhoid  fever  to  less  than  4  per 
cent.  The  latter,  however,  still  contains  many 
imperfectly  managed  cases.  Eliminating  these, 
the  number  treated  by  Juergensen,  Vogl,  and  J3rand, 
up  to  1887,  amounted  to  1,223  cases,  of  which  twelve 
only  died,  or  l  per  cent. 

"  And  yet  this  is  not  all,  for  the  most  significant 
fact  deducible  from  these  statistics  remains  to  be 
told.  Not  a  single  one  of  these  twelve  deaths  oc- 
curred in  any  case  that  came  under  treat^nent  before 
the  fifth  day. 

"  It  would  seem  a  bold  assertion  to  claim  that 
all  cases  of  typhoid  fever  may,  by  early  treatment, 
be  rendered  so  mild  as  to  tend  almost  invariably 
to  recovery.  But  the  assertion  is  boldy  made 
by  Brand,  on  the  strength  of  these  1,223  cases, 
of  which  he  treated  one  fourth  himself,  the 
remainder  coming  from  Juergensen's  hospital  at 
Tubingen,  Vogl's  at  Munich,  and  the  military  hos- 
pitals at  Stralsund  and  Stettin.* 

*'  The  exactness  of  these  figures,"  continues  Dr. 
Baruch,  "cannot  be  doubted,   coming  as   they  do 

♦Deutsch  Med.  Wochensehrift,  3  Mch.  1887,  p.  179. 


10 

from  university  clinics  and  military  hospitals,  in 
which  the  cases  were  admitted  early,  and  observed 
by  well-trained  medical  men  ;  and  they  are  the 
better  adapted  to  the  elucidation  of  this  question 
of  treatment  because  of  the  variety  of  sources 
from  civil  and  military  life." 

After  supplying  a  still  greater  array  of  statistics, 
and  reviewing  the  whole  field,  he  says  :  **  Brand's 
claim,  sustained  by  such  incontrovertible  proofs, 
certainly  challenges  attention  ;  and  I  ask  you 
to-night  to  consider  if  we  can  with  justice  to 
suffering  humanity,  and  with  justice  to  ourselves, 
continue  to  treat  it  with  indifference  or  scep- 
ticism ? " 

Then,  following  a  description  of  the  method  re- 
ferred to,  and  its  successful  results  in  his  own  prac- 
tice,—  results,  I  may  add,  which  I  have  also  been 
so  fortunate  as  to  secure  in  my  own,  practice,  —  Dr. 
Baruch  concludes  with  these  remarkable  words:  — 
"A  review  of  the  history  of  the  treatment  of 
typhoid  fever  convinces  me  that  we  have  reached 
an  epoch  when  we  must  choose  between  the  fatal 
expecta7it  plan  [the  italics  are  mine]  and  the  suc- 
cessful plan  to  which  I  have  had  the  honor  to  call 
your  attention.  The  history  of  medicine  does  not 
present  a  parallel  to  the  application  of  statistics  for 
the  elucidation  of  a  question  of  therapeutics  which 


II 

Brand  has  recently  presented  to  us.  The  evidence 
is  before  us,  clear  and  incontrovertible  ;  upon  our 
conscientious,  fearless,  and  unbiassed  judgment 
rests  the  weal  or  woe  of  those  who  commit  their 
lives  into  our  keeping." 

"  The  Fatal   Expectant   Plan." 

What  a  name  this  is  for  the  plan  that  prevails  in 
Boston,  as  well  as  in  New  York  and  throughout 
the  country,  viz.,  that  of  treating  the  sympt07ns 
instead  of  the  disease,  and  practically  by  drugs  alone. 
It  expects,  in  every  case,  at  least  the  traditional 
"  twenty-one  days'  run  "  of  the  fever,  with  more 
or  less  delirium ;  and,  of  course,  so  long  as  this 
is  regarded  as  the  regular  thing,  something  that: 
cannot  be  prevented,  the  doctor  and  nurse  and 
friends  rest  content  during  the  entire  siege,  amply- 
satisfied  and  grateful  if  only  the  precious  life  is  not 
lost  at  last,  when,  sad  to  say,  it  is  the  treatment^ 
so  outspokenly  denounced  by  the  unimpeachable 
authoi-ities  herein  quoted,  which  transforms  an 
easily  curable  ailment  into  a  dangerous  and  often 
fatal  disease. 

On  the  other  hand,  the  Brand  system,  if  I  may 
so  style  it,  expects  convalescence  in  a  very  few 
days.  By  helpful  instead  of  depleting  measures, 
we  reduce    the  temperature    to    near  the   normal 


12 

point,*  and  there  maintain  it,  and  so  protect  the 
brain  by  skilful  management  as  to  prevent  delir- 
ium. In  brief,  the  experienced  hydropathist  ex- 
pects to  prevent  danger,  and  to  make  a  long  sick- 
ness impossible.  In  doing  this,  he  lays  himself 
open  to  the  charge  that  he  really  has  no  bad 
cases,  simply  because  patients  are  shortly  free 
from  most  of  the  ugly  symptoms,  and  make  a 
speedy  recovery. 

I  will  venture  to  relate,  in  this  connection,  the 
history  of  a  case  that  affords  a  very  good  illustra- 
tion of  the  merits  of  the  new  treatment,  under  con- 
ditions constituting  rather  a  crucial  test. 

On  the  twenty-fifth  day  of  August,  1887,  while 
in  consultation  with  a  patient  in  my  office,  the  fol- 
lowing telegram  was  placed  in  my  hands  :  — 

New  York,  Aug.  25. 

Dr.  C.  E.  Page,  47  Rutland  Street:  — 

My  boy,  Donald,  five  and  half  years  old,  has  typhoid 
fever.  Temperature,  104^-°  ;  some  delirium.  Wire  me 
important  advice  as  to  food  and  medicine,  and  reducing 
fever,  and  write  fully  treatment  by  mail.  This  is  ninth 
•day.     Of  course,  my  physician^is  in  charge ;  is  giving 

*  I  have  in  an  hour's  time  reduced  the  temperature  <jf  a  typhoid 
patient  (twelfth  day,  first  visit)  from  104.5"  F.  to  100°  F.,  and  with 
an  improvement  in  his  condition  and  feehngs  so  marked  as  not  only 
to  excite  his  deepest  gratitude,  but  to  constitute  true  convalescence; 
and  during  the  day,  by  more  moderate  measures,  the  normal  ])oint 
was  reached,  and  the  patient  made  a  rapid  and  complete  recovery. 


^3 

all  the  milk  he  will  take  every  three  hours,  and  aconite 

every  half-hour. 

G.  D.  Mackay,* 

New  York  Stock  Excha?jge. 

I  wired  definite  instructions,  confirming  by  let- 
ter, and  from  that  time  had  entire  charge  of  the 
case,  exchanging  messages  every  hour  or  two  for 
the  first  forty-eight  hours,  then  less  frequently  for 
the  next  few  days,  which,  with  my  letters,  sufficed 
to  put  the  little  patient  in  the  way  of  a  speedy 
recovery. 

A  review  of  the  case  is  given  by  Mr.  Mackay  in 
the  following  letter,  which  I  commend  to  all  who 
wish  to  obtain  a  clear  understanding  of  this  ques- 
tion. It  was  never  intended  for  publication,  but 
is  the  candid  story  of  a  devout  Christian,  and  level- 
headed business  man,  who,  in  consenting  now  to 
its  appearance,  says  that  he  "would  do  the  same 
thing  again,"  and  expresses  the  "hope  that  it  may 
help  some  one  "  :  — 

Vermilye  &  Co.,  Bankers, 

New  York,  Aug.  31,  1887 
My  Dear  Dr.  Page  :  — 

I  take  pleasure  in  giving  you  an  account  of  our  boy's 

attack  and  sickness,  as  viewed  at  this  end  of  the  line. 

Donald  was  taken  sick  Tuesday,  Aug.  16.     He  com- 

*  Mr.  Mackay  is  a  member  of  the  old  and  well-known  firm  of 
Vermilye  &  Co.,  bankers.  Through  Boston  friends,  he  had  learneci 
something  about  my  treatment  of  fevers. 


H 

plained  of  weariness,  the  day  previous.  We  have  reason 
to  believe  that  he  was  really  upset  for  two  weeks  ante- 
dating his  attack,  as  it  seemed  impossible  for  him  to  get 
to  sleep  after  going  to  bed  at  right.  He  would  lie 
awake  for  two  or  three  hours  after  the  other  children 
were  sleeping,  playing,  and  talking  to  himself,  but  appar- 
ently unable  to  quiet  down  to  sleeping. 

His  appetite  failed  a  little  for  three  days  before  the 
attack,  and  on  the  Tuesday  mentioned  he  gave  up  com- 
pletely, —  vomited  his  breakfast,  had  slight  diarrhcea, 
and  was  feverish.  We  thought  it  biliousness  from 
wrong  or  over  eating,  and  for  several  days  nothing  was 
done  but  to  lighten  and  simplify  his  food,  and  let  him 
rest,  which  he  did  absolutely,  —  not  willing  at  any  time 
to    stand  on  his  feet.     This    ran   along  until    Sunday, 

when   Dr. ,  a  homoeopathic  physician  of  Brooklyn, 

saw  him,  guessed  he  had  some  temporary  gastric  trouble, 
and  prescribed  for  him.     On  Monday,  he  was  no  better. 

Dr. had  gone.     Dr. ,  an  English  allopath  from 

,    resident   physician    at    the    hotel,    came    at    my 

request,  look  his  temperature,  found  it  ioi^°,  and  after 
some  deliberation  said  the  boy  had  some  kind  of  ma- 
larial fever,  possibly  typhoid,  and  prescribed  quinine  in 
one-grain  doses,  three  times  a  day. 

His  mention  of  typhoid  filled  me  with  horror,  and  I 
sent  for  an  old  friend  of  mine,  a  physician  of  the  reg- 
ular school,  who  himself  had  had  typhoid  fever  last 
autumn.  He  took  charge  of  the  case  Wednesday, 
Aug.  24,  about  a  week  after  the  attack.  He  began  to 
feed  the  boy  all  the  milk  he  would  take,  and  aconite  in 
solution,  one  drop  to  a  teaspoonful  of  water  every  half- 


15 

hour.  When  I  arrived  home*  on  Wednesday  night,  I 
found  his  temperature  had  opened  at  102^  F.  in  the 
morning,  and  was  then,  6  p.  m.,  104!°.  I  slept  scarcely 
any;  watched  the  boy  all  night.  He  was  excited,  and 
slightly  incoherent  and  wandering  in  his  talk,  and  evi- 
dently very  sick. 

On  Thursday,  the  25th,  I  wired  you  all  I  thought 
necessary,  and  was  cheered  by  your  vigorous  and 
rational  advice,  especially  that  part  which  promised 
convalescence  in  four  days.  The  other  physicians  said 
it  would  be  a  three  weeks'  battle,  which,  handicapped 
by  a  temperature  of  104°  at  the  start,  I  thought  was 
odds  too  much  against  the  boy  to  suit  me. 

When  I  reached  home,  and  showed  your  telegrams  to 
the  two  physicians,  they  at  once  scouted  your  views  ;  said 
you  evidently  did  not  understand  the  disease  ;  that  the 
treatment  you  prescribed  would  weaken  the  body, 
especially  the  nervous  system ;  might  cause  heart  fail- 
ure ;  t  and  advised  me  strongly  against  it,  and  said  they 
would  wash  their  hands  of  the  whole  case  if  I  intended 
resorting  to  any  such  measures,  and  did  all  they  could 
to  frighten  me  away  from  heeding  any  of  your  "  so-called 
treatment."     They  said  the   very  estimate  of  the  result 

*  Mizzen  Top  Hotel,  Pawling,  N.  Y.,  where  the  family  was 
summering. 

t  Such  objections,  in  the  face  of  rational  advice  strictly  in  accord 
with  Dr.  Brand's  practice,  only  serve  to  show  the  bed-rock  igno- 
rance that  prevails  in  the  profession  on  this  subject,  and  to  justify 
the  strong  language  employed  by  the  eminent  men  whose  utter- 
ances are  herein  recorded.  The  very  merit  of  this  treatment  lies  in 
its  soothing  injluence  upon  the  nervous  system,  and  in  the  relief  it 
affords  to  the  over-taxed  heart,  thereby  removing  the  danger  of 
heart  failure;  and,  moreover,  as  would  naturally  follow,  so  far  from 
weakening  the  body,  the  eflect  is  quite  the  reverse. 


i6 


of  your  treatment,  ending  in  convalescence  in  four  to 
six  days,  proved  your  ignorance  of  the  disease,  which 
was  a  germ  disease,  self-limited,  and  bound  to  run 
about  twenty-one  days  at  best.  I  was  also  surrounded 
with  well-meaning  friends  who  backed  up  the  physicians, 
and  advised  me  for  their  sakes  not  to  risk  the  life  of 
my  child  by  any  rash  experiments,  especially  when  pro- 
fessional knowledge  (!)  was  so  overwhelmingly  against 
the  benefit  of  that  treatment.  Luckily,  I  was  deaf  to 
all  their  arguments,  and  you  may  imagine  that  my 
position  was  not  a  pleasant  one  to  be  the  only  one  at 
the  wheel  who  was  bearing  the  responsibility,  following 
the  advice  of  a  physician  two  hundred  miles  away,  con- 
scious that  complications  might  arise  that  would  require 
very  delicate  handling,  while  my  knowledge  was  only 
half  sufficient  to  do  justice  to  the  situation. 

For  days  I  endured  this,  blessed  by  improving  con- 
ditions all  the  wdiile,  using  your  treatment,  modified  by 
my  intimate  knowledge  of  the  boy's  temperament  and 
the  easy  yielding  of  the  symptoms  to  the  treatment  used. 

The  boy  is  now  practically  without  fever.  He  sleeps 
well,  has  an  eager  appetite  all  the  time,  and  apparently 
has  no  disturbance  of  the  stomach  or  intestines,  no  swell- 
ing or  pain.  Dr.  Page  may  not  know  whereof  he  speaks. 
I  would  be  glad  to  hear  of  his  experience  of  the  life  of 
the  typhoid  germ,  and  the  heart  failures  that  follow  his 
treatment  in  private  practice.*     /say  to  him,  however, 

*  I  can  only  say,  in  this  connection,  that  this  case  is  given  illus- 
trative of  my  usual  experience,  except,  of  course,  some  cases  require 
somewhat  longer  attendance;  while,  on  the  other  hand,  when  the 
case  comes  earlier  under  treatment,  a  day  or  two  sometimes  suf- 
fices to  set  things  right. 


17 

blessed  be  his  name,  and  may  he  live  long  to  give  to 
others  the  happiness  he  has  given  us,  by  lifting  up  the 
sick  bodies  of  little  children  from  beds  of  suffering  to 
the  arms  of  their  rejoicing  parents.  The  danger  line 
has  passed,  and  I  believe  that  your  instructions  as  to 
diet  relieved  the  stomach  and  intestines,  at  a  critical 
juncture,  of  the  work  they  were  incapacitated  for  doing 
by  disease,  and  that  this  prevented  the  glandular  swell- 
ings, or  deadly  Peyer's  ulcerations,  that  are  called  the 
necessary  adjuncts  to  the  disease,  and  impossible  to 
avert,  and  said  to  be  due  solely  to  the  presence  of  the 
"germ."  We  shall  always  hold  you  in  grateful  remem- 
brance.    With  affectionate  regards. 

Very  sincerely  yours, 

George  D.  Mackay. 

Dr.  George  L.  Peabody,*  in  a  paper  on  typhoid 
fever,  read  before  the  Practitioners'  Society,  of 
New  York,  Dec.  6,  1889,  says:  — 

"The  results  in  the  treatment  of  typhoid  fever 
continue  to  be  so  bad  in  general  in  this  country  as 
to  constitute  a  chronic  opprobrium  to  the  art  of 
medicine  here.  We  do  not  seem  to  be  capable  of 
approaching  the  low  rate  of  mortality  which  has 
rewarded  the  efforts  of  the  medical  profession  in 
many  cities  of  Europe. 

"  Those  who  still  adhere  to  the  expectant  plan 

*  George  L.  Peabody,  M.  D.,  Professor  of  Materia  Medica  and 
Therapeutics  in  the  College  of  Physicians  and  Surgeons,  New  York. 


I8 

of  treatment,"  continues  Dr.  Peabody,  "  are  still  in 
the  large  majority  here.  The  expectant  plan  seems 
in  a  general  ivay  to  make  ns  quite  cofitent  with  our 
bad  results y  and  to  lead  tis  to  expect  the  patient  to  die 
if  he  becomes  gravely  ilir     [The  italics  are  mine.] 

But  ihQ  people  3XQ  by  no  means  "  content  with  our 
bad  results."  They  are  growing  more  and  more  res- 
tive—  indeed,  rebellious.  Witness  the  rise  of  the 
Mental  Scientists  and  the  Faith  Curers,  whose  "  prac- 
tice," though  without  doubt  less  fatal  than  the  one 
to  which  their  theory  is  a  protest,  is  nevertheless 
(except,  it  has  to  be  said,  in  strict  justice,  in  a 
class  of  ailments  which  require  simply  the  element 
of  mental  or  moral  stimulus),  atrocious  in  that  it 
does  not  embrace  helps  to  Nature  in  her  extremity. 

The  fact  of  the  matter  is  that  not  all  who  seek 
entrance  to  the  profession  are  by  natural  endow- 
ment at  all  adapted  to  the  calling.  The  average 
boy  goes  to  a  medical  school  and  takes  his  hourly 
cramming  on  each  of  the  various  subjects,  like  a 
Strasburg  goose  under  treatment  to  produce  a 
fat  liver  ;  and  he  must  be  a  "  goose,"  indeed,  if  he 
gets  "  plucked  "  at  last,  for,  as  we  all  know,  the 
dear  old  Profs  hate  mortally  to  refuse  a  diploma  to 
even  the  biggest  dunce  in  the  class  after  he  has 
spent  his  money  and  time  grinding  through  the 
mill  for  the  stipulated  term. 


19 

The  author,  while  a  freshman,  wrote  the  vale- 
dictory for  the  jolly  good  fellow  who  graduated 
that  year  "with  the  honors  of  his  class,"  at  a  first- 
class  medical  school  in  New  York  City,  the  name 
of  which  is  withheld  simply  because  it  would 
seem  to  imply  a  reflection  upon,  and  would  there- 
fore be  unjust  to,  this  particular  college. 

He  was  a  handsome  man,  of  fine  physique,  and 
a  good  reader ;  and  the  advanced  views  he  expressed, 
as  to  the  crying  need  of  reform  in  medical  practice, 
and  of  the  great  value  of  a  knowledge  of  the  laws 
of  life  in  the  treatment  of  disease,  were  well 
received  by  the  distinguished  audience  present, 
but  must  have  been  somewhat  staggering  to  the 
faculty,  as  well  as  the  rest  of  the  class,  for  up  to 
that  moment  not  a  soul  of  us  ever  suspected  him 
of  any  knowledge  of,  or  fondness  for,  hygiene. 
On  the  contrary,  it  was  his  bete  noire,  and  any  trace 
of  it  in  our  lectures  was  tiresome  to  this  orator 
and  most  of  his  confreres. 

It  is  a  matter  of  profound  regret  to  those  who 
are  at  all  advanced  in  this  department,  that,  notwith- 
standing the  direct  uses  to  which  a  knowledge  of 
the  conditions  which  regulate  the  healthy  action  of 
the  bodily  organs  may  be  applied  in  the  prevention, 
detection,  and  treatment  of  disease,  there  is  so 
little  attention  paid  to  this  most  important  branch 


20 

of  Study  in  any  of  our  medica\  schools.  It  is 
largely  owing  to  this  glaring  defect  that  there  is  so 
little  progress  in  the  healing  art,  from  generation 
to  generation,  so  far  as  concerns  the  profession  at 
large  ;  for,  among  the  vast  throngs  turned  out 
by  the  schools  every  year  to  "  practise"  upon  the 
people,  there  is  only  here  and  there  an  individual 
capable  of  sifting  the  wheat  from  the  chaff,  and, 
by  independent  thinking  and  out-spoken  teaching, 
of  doing  much  to  help  elevate  ''medicine"  to 
something  like  the  high  plane  upon  which  surgery 
is  already  solidly  established. 

Dr.  Peabody  describes  the  routine  procedure  in 
hospital  and  private  practice,  and  thus  comments 
upon  it :  — 

"This  method  of  treatment  —  if  it  be  proper  to 
call  that  a  method  which  seems  to  lack  all  true 
system  —  is  often  dignified  by  its  advocates  by  the 
appellation  rational.  In  fact,  however,  it  would  be 
difficult  to  devise  a  more  irrational  method  than 
the  symptomatic  method,  carried  to  its  logical 
issue." 

Dr.  Peabody  then  gives  the  history  of  50  cases 
treated  by  himself,  "chiefly  in  the  New  York  Hos- 
pital and  the  Bellevue  Hospital." 

In  27  of  these  cases  he  tried  a  somewhat  modi- 
fied   plan,  which  seemed   to  produce  rather  more 


21 

favorable  results,  but  still  death  resulted  in  5  of 
these  cases — about  20  per  cent.  Dr.  Peabody 
says  of  this,  "  the  results  are  certainly  better  than 
those  which  have  followed  the  expectant  plan  of 
treatment  in  any  year  in  this  hospital."  But 
directly  he  says  of  it  : — ■ 

'*It  would  be  a  source  of  great  regret  to  me  to 
give  the  impression  that  I  consider  even  this 
method  of  treatment  as  to  be  at  all  comparable 
with  the  antipyretic  effect  of  cold  water  applied 
to  the  surface  of  tJie  body.  [The  italics  are 
mine.] 

"It  seems  to  me,"  he  continues,  "that  any  one 
at  all  open  to  conviction  by  statistics  cannot  but 
admit  that  the  recent  statistics  of  Brand  make 
a  marvellously  good  showing  for  the  cold-water 
treatment.  After  reading  these  statistics  it  would 
seem  as  if  all  other  plans  were  of  insignificant 
value  when  compared  with  this  one." 

In  corroboration  of  the  foregoing,  Dr.  Peabody 
says  :  *'  In  the  past  few  weeks  I  have  subjected 
eleven  cases  in  Bellevue  Hospital  to  treatment 
by  this  method,  and  with  very  gratifying  results. 
These  patients  all  got  ivelL  [The  italics  are  mine.] 
They  were  all  adults,  only  one  as  young  as  twenty 
years,  and  most  of  them  made  of  the  very  poor 
material  which  seeks  admission  to  the  public  hos- 


22 

pitals  in  this  city.  In  most  of  them  the  tempera- 
ture was  persistently  high,  and  they  came  under 
treatment  late  in  the  disease,  /.  e.,  after  it  had 
lasted  between  one  and  three  weeks." 

An  article  on  the  treatment  of  typhoid  fever, 
in  the  Medical  News,  says  that  Dr.  J.  C. 
Wilson,  one  of  the  ablest  students  of  fever  in  this 
country,  furnishes  the  results  in  64  cases  treated 
at  the  German  Hospital  of  Philadelphia  since 
Feb.  I,  1890,  by  himself  and  Drs.  Trau  and  Wolff, 
by  the  cold  bath  according  to  Brand,  without  a 
death. 

He  meets  the  objections  against  this  method 
as  follows :  — 

First,  the  statistics  are  questioned.  This  can  no 
longer  be  sustained.  A  large  number  of  indepen- 
dent observers  have  fully  confirmed  the  general 
results  obtained  by  Brand. 

Second,  it  is  asserted,  a  priori,  that  the  typhoid 
of  this  country  is  not  sufficiently  severe  to  demand 
such  treatment.  The  statistics  which  I  have  pre- 
sented sufficiently  disprove  this  statement. 
Furthermore,  it  is  impossible  to  foresee  the  severity 
of  any  particular  case  at  the  outset,  but  the  Brand 
treatment  tends  to  make  every  case  a  curable  one. 

Third,  it  is  not  true  that  patients  in  this  coun- 
try do  not  bear  cold-water  treatment  as  well  as  the 


23 

French  and  the  Germans,  and  it  is  a  matter  of 
surprise  that  this,  even  if  true,  could  be  seriously 
urged  as  an  objection  to  a  treatment  incontrover^ 
tibly  shown  to  be  as  efficient  as  the  one  under 
discussion. 

Fourth,  it  is  inconvenient,  and  demands  an 
amount  of  experience  and  labor  on  the  part  of 
physician  and  attendants  not  easily  to  be  had  in 
private  practice.  Objections  of  this  nature  cannot 
stand  against  the  lowered  rate  of  mortality. 

Finally,  the  opposition  of  the  patients  them- 
selves, and  of  their  friends,  may  be  urged  as  an 
obstacle  to  any  attempt  on  the  part  of  medical 
men  to  introduce  the  treatment  into  private  prac- 
tice. This  is  no  real  objection  ;  it  is  a  mere  diffi- 
culty that  will  vanish  so  soon  as  the  profession 
generally  recognizes  in  the  method  an  efficient 
means  of  saving  many  lives,  and  lends  its  weight 
to   the  advocacy    of   the    plan    among  the  people. 

"  These  remarks,"  concludes  the  editor  of  the 
Medical  News,  **  are  intended  to  contribute  to  that 
desirable  end." 

The  Paris  edition  of  the  New  York  Herald,  Sept. 
21,  1890,  contains  an  article  which  refers  to  Brand's 
method  in  acute  diseases.  The  writer  says  :  "  Al- 
though Brand's  method  had  a  hard  time  in  gaining 
the  confidence   of  physicians  in   France,  it  is  now 


24 

giving  satisfactory  proof  of  what  it  can  do,  and  is 
destined  to  become  the  most  efficient  treatment 
for  the  majority  of  infectious  diseases  with  high 
temperature  and  nervous  symptoms." 

This  means,  says  Dr.  Baruch  in  the  Medical 
Record,  "  that  it  is  on  the  point  of  entering  into 
common  practice  ;  for  physicians  will  appreciate  it 
more  and  more  when  they  try  it  regularly  and 
resolutely,  without  being  hampered  by  precon- 
ceived ideas." 

Yet  it  is  to  be  feared  that  the  present  generation 
of  doctors  will  furnish  only  here  and  there  one 
fully  equipped  in  this  regard.  It  is  only  the  "  born 
physician,"  the  man  with  a  mind  naturally  con- 
stituted for  the  work  of  observing  nature,  and, 
withal,  inclined  to  scepticism  concerning  unnatural 
methods,  who  is  likely  to  speedily  appreciate  so 
radical  an  advance  from  the  routine  treatment. 

An  eminent  Boston  preacher,  in  a  recent  sermon 
on  *'  Hero  Worship,"  said  that  great  men  were,  after 
all,  only  the  product  of  high  ideals  among  the 
people.  I  think  it  may  with  equal  truth  be  said 
that  skilful  physicians  are  the  product  of  the  intel- 
ligence of  their  patients.  It  is,  at  all  events,  cer- 
tain that  the  former  cannot  thrive  without  the 
latter  —  that  is,  it  requires   unusual  intelligence  on 


25 

the  part  of  patients  to  accept  radical  innovations 
in  the  mode  of  treatment. 

It  has  been  said,  and  not  without  reason,  that 
the  myriads  of  patent  medicines  that  load  the 
druggist's  shelves  and  from  whose  sales  he  derives 
the  principal  part  of  his  income,  and  the  fabulous 
fortunes  made  by  the  proprietors  of  these  nos- 
trums, furnish  a  terrible  arraignment  of  the  medi- 
cal profession,  since  only  failure  on  our  part  to  cure 
our  patients  makes  this  mischievous  traffic  possible. 

In  the  opening  paragraph  of  this  little  "  study," 
I  intimated  that  the  subject,  typhoid,  was  rather  a 
text  for  a  sermon  on  the  treatment  of  all  the 
zymotic  diseases,  than  merely  the  one  named 
most  prominently. 

All  that  I  have  said  against  the  treatment  in 
vogue  for  typhoid  fever,  and  in  favor  of  a  radically 
reformed  method,  applies  with  equal  force  in  the 
matter  of  scarlet  fever,  diphtheria,  rheumatic  fever, 
influenza  fever  ("la  grippe"),  pneumonia,  etc., — 
in  brief,  all  acute  sicknesses  accompanied  with 
high  temperature.  None  of  these  is,  generally 
speaking,  necessarily  a  dangerous  disease,  if  recog- 
nized in  the  incipient  stage,  and  promptly  treated  in 
a  way  to  help  Nature^  instead  of  embarrassing  her. 

For  example,  every  "  cold  on  the  lungs,"  as  it  is 


26 

erroneously  called,  is  incipient  pneumonia.  It  rep- 
resents always  the  co7idition  of  the  person, — what 
he  has  acciumilated  —  not  what  he  hdiS  caught.  If 
his  condition  is  sufficiently  bad,  and  the  disorder  is 
neglected  or  badly  treated,  the  result  is  likely  to  be 
full-fledged  pneumonia.  In  this  case,  there  is  not 
ovXy gefierali^vQr,  as  in  typhoid  fever,  but  there  is 
a  terrible  heal  lesion  in  the  lungs,  which  are 
gorged  with  blood.  The  tissues  of  the  blood- 
vessels of  the  lungs  being  relaxed,  these  vessels  are 
stretched  to  abnormal  size,  and  filled  to  a  degree 
that  not  only  checks  the  onward  flow  of  the  blood, 
but  partially,  sometimes  completely,  closes  the 
air-vessels  ;  and  if  this  condition  is  not  speedily 
changed,  life  is  extinguished  for  lack  of  the  ex- 
change between  the  used-up  gases  of  the  vital 
system  and  the  atmosphere.  It  is  here  that  the 
mustard  plaster,  or,  worse  still,  the  hot  poultice, 
does  its  deadly  work.  The  latter,  if  applied  to  the 
chest  of  the  most  robust  man,  confined  in  bed,  in  a 
close  room,  would  positively  tend  to  produce,  and  if 
continued  indefinitely  could  hardly  fail  to  produce, 
this  "  lung  fever/'  Yet,  strangely  enough,  this  is  a 
prominent  feature  in  the  treatment  of  pneumonia 
by  most  physicians.  Such  treatment  may  seem 
rational  from  the  stand-point  of  homoeopathy,  but 
its  absurdity  ought  to  be  evident  to  the  minds  of 


27 

all  who  oppose  the  doctrine   of   similia  similibus 
ciirantur. 

During  the  terrible  epidemic  of  the  "  grippe,"  as 
it  was  called,  last  year,  there  were  one  hundred  and 
eight  deaths  from  pneumonia  in  one  week.  The 
afitipyrine  and  hot-poultice  treatment  was  re- 
sponsible for  the  greater  part  of  all  this  mor- 
tality. 

Not  a  single  death  occurred^  so  far  as  I  am  aware, 
in  any  case  treated  by  hydrotherapy.  I  had  quite  a 
number  of  severe  cases  under  treatment,  all  the 
way  along  ( besides  several  scores  of  cases  "  nipped 
in  the  bud  "  ),  and  every  one  recovered.  I  am  cer- 
tain that  among  them  there  were  quite  a  number 
who  would  necessarily  have  succumbed  to  the 
treatment  that  proved  fatal  in  so  many  hundreds 
of  cases  during  that  terrible  epidemic. 

I  wish  most  emphatically  to  remind  my  brethren 
in  the  medical  profession  of  the  part  played  by  the 
new  drug,  antipyrine,*  in  last  year's  carnival  of 
death.  As  often  as  the  temperature  went  up,  anti- 
pyrine  went  down.  It  lowered  the  temperature 
every  time,  but,  alas,  it  also  lowered  the  patient's 
vitality.  It  was  followed,  moreover,  by  a  dan 
gerous  "reaction,"  that   is,   the  fever   heat  (until 

*  The  deadly  nature  of   this  drug   was  so  well  appreciated  in 
France  that  the  government  prohibited  its  use. 


28 

the  capacity  for  reaction  was  annihilated)  arose 
higher  than  before,  and  the  patient's  chances 
of  life  were  correspondingly  lessened.  That  any 
one  escaped  death  under  this  treatment  is  the  only 
remarkable  thing,  except  the  persistency  with 
which  this  deadly  drug  was  continued  in  use,  in 
spite  of  the  fearful  death-rate  during  those  terrible 
weeks. 

Again  I  quote  Dr.  Baruch,  who  gives  his  views 
as  follows  :  — 

*'  Antipyrine  and  its  congeners  [that  is,  all  drugs 
prescribed  for.  the  purpose  of  lowering  the  body 
temperature]  have  not  only  failed  as  cures  of  fever, 
but  even  when  used  as  symptomatics  their  effect 
is,  as  I  have  repeatedly  argued,  detrimental  (not  so 
much  as  heart  depressors,  but)  by  interfering  with 
the  elimination  of  excrementitious  material  from  the 
kidneys,  etc.,  and  as  Cantani  has  said  (on  anti- 
pyresis),  before  the  recent  International  Congress, 
because  they  suppress  the  capacity  of  a  reaction  of 
which  the  fever  process  is  a  manifestation,  and 
which  is  a  potent  factor  in  the  elimination  of  the 
disease-producing  element." 

How  different  are  the  results  following  hydro- 
therapy, which  has  to  do  with  the  removal  of 
disease-producing  conditions,  and  embraces  —  a 
point    that    cannot    be    over-emphasized  —  every 


29 

measure,  medical  and  hygienicy  for  assisting  the 
organism^  in  its  efforts  to  regain  that  just  balance 
which  we  call  health.  And  this  demands  that 
the  physician  must  not  only  be  competent  to 
direct  every  important  detail  in  the  management  of 
the  patient,  but  that  he  shall  so  direct,  as  to  the 
ventilation  of  the  sick-room,  food  and  feeding, 
bathing,  and  the  use  of  hot  or  cold  water  internally 
and  externally,  etc.,  etc.,  leaving  as  little  as  possible 
to  the  discretion  of  the  nurse. 

As  the  free  internal  use  of  cold  water  is  delight- 
ful to  the  parched  throat  and  stomach  of  the  fever 
patient,  and  aids  in  eliminating  the  poisons  that 
are  the  cause  of  the  disease,  so  its  skilful  use,  exter- 
nally, is  most  grateful  to  the  burning  brain  and  the 
feverish  skin,  and  while  controlling  the  temperature 
in  the  most  happy  manner,  restores  the  capacity  of 
the  skin,  in  all  its  great  surface,  for  doing  its  part 
normally  in  the  needed  work  of  eliminating  the 
disease-producing  matters. 

And  even  in  cases,  such  as  will,  however  rarely, 
come  in  the  practice  of  every  physician,  where  the 
patient's  vitality  is  so  nearly  exhausted  that  no 
human  skill  will  avail  to  avert  a  fatal  issue,  life 
would  still  be  somewhat  prolonged,  and  a  vast  deal 
of  suffering  prevented,  by  this  method. 

It  is  not  so  very  long  since  the   internal  use  of 


30 

cold  water  in  fever  was  strictly  forbidden  by  med- 
ical men.  It  was  forced  upon  them  of  the  past 
generation  from  outside,  to  our  chagrin  be  it  ad- 
mitted. Shall  we  now,  I  ask  my  brother  physicians, 
for  want  of  learning  how  to  apply  what  I  may  call 
the  hydrotherapeutic  method,  continue  to  allow 
a  large  percentage  of  all  our  patients  to  die  need- 
lessly, until,  finally,  we  lose  this  class  of  patients, 
as  we  ought,  into  the  hands  of  physicians  who  have 
the  wisdom  to  adopt  correct  methods  ?  Upon  the 
correct  solution  of  this  problem,  and  prompt 
action  on  the  part  of  educated  physicians,  de- 
pends the  justice  of  our  claim  upon  the  confidence 
of  those  who  employ  us  in  times  of  peril. 


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r-A-'v^  PUBLISHED    BY  -^a/z^-r-* 

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PURE  WATER. 


W.  Howship  Dickinson,  M.  D.,  F.  R.  C  P.,  etc.,  in  his  most  valuable  work  on 
Albuminuria  (Bright's  Disease),  says  : 


"  OF  ALL  DIURETICS,  PURE  WATER  IS  THE  BEST." 


"  No  water  is  pure  that  is  not  at  the  same  time  soft  and  clear.  Your  Cold 
Blast  Distilled  Water  appears  to  me  to  withstand  every  test  of  purity,  and  in  all 
critical  cases  I  insist  upon  its  use."  —  Dr.  Charles  E.  Page,  iti  a  private  letter 
to  the  proprietors. 


PURE  DISTILLED  WATER 

COLD  BLAST  LITHIA  WATER 

POLARIS,  A  MOST  AGREEABLE  CARBONATED  TABLE  WATER 


For  full  particulars,  address  the 


COLD  BLAST  WATER  STILL  CO. 


16  and  18  Swell  St.,  Boston,  Mass. 


Dr.  CHARLES  E.  PAGE 

Will  give   instructions,  to  a  very  limited   number  of 
physicians,  in 

PRACTICAL  HYDROTHERAPY, 

OR  THE  

BRAND     TRKATIVLENX 

FOR 

Fevers  and  All  Diseases 

Attended  by  high  temperature. 


Private  instructions  at  hours  specially  appointed 
for  each  student,  before  11  A.  m.,  or  after  3  p.m. 

Will  consult  with  the  family  physician  in  any 
case,  and  apply  the  treatment. 

Instructions  given  also  by  correspondence. 


OKF^ICE     PiOURS: 

(For  General  Practice,) 

11  TO  3,  EXCEPT  Saturday  and  Sunday. 

OFFICE    AND    RESIDENCE: 

47  Rutland  Street        -       .        Boston,  Mass. 


THE  WORKS  OF  DR.  C.  E.  PAGE. 

NATURAL  CURE  OF  CONSUMPTION 

i2mo,  294  pp.     Cloth,  $1.00. 

The  book  is  packed  with  a  large  amount  of  common  sense.  — 
Christian  Intelligencer. 

Many  good  things  are  said  in  the  book.  —  .A^.  Y.  Independent. 

He  has  laid  down  principles  which  may  be  followed  with  profit, 
and  the  following  of  which  may  relieve  many  cases  regarded  as 
desperate.  —  Popular  Science  Monthly. 

The  idea  that  consumption  can  be  cured  is  not  a  new  one,  but 
we  have  never  before  seen  it  urged  by  a  regular  physician  of  so 
high  standing  in  the  profession  as  Dr.  Page.  —  Boston  Transcript. 

HOW  TO  TREAT  THE   BABY 

To  make  it  Healthy  and  Happy,  with 
Health  Hints.  Sixth  Edition.  Re- 
vised. i2mo,  168  pp.  Cloth,  75  cents  ; 
paper,  50  cents. 

Dr.  Felix  L.  Oswald,  the  well-known  author  and  medical  critic, 
says :  "  I  have  read  and  reread  this  work  with  wonder  and  interest. 
It  is  a  powerful  appeal  on  a  subject  that  ought  to  recommend  itself 
to  all  rational  parents.  I  do  not  believe  the  book  contains  two 
superfluous  lines." 

Dr.  Page  has  made  infant  dietetics  a  specialty,  and  has  made 
a  manual  which  may  be  trusted,  and  those  who  train  their  children 
by  its  directions  are  likely  to  secure  for  them  the  best  possible 
physical  development.  —Our  Continent. 

The  experiences  detailed  and  the  advice  and  suggestions  given 
in  this  book  will  be  of  value  to  all  mothers.  —  Home  Magazine. 

If  mothers  would  read  this  book  we  think  fewer  infants  would 
"  make  night  hideous  "  with  their  cries.  — Homestead,  Springfield. 

If  every  mother,  prospective  mother,  grandmother,  and  mother- 
in-law  does  n't  buy  this  inexpensive  treatise,  not  one  of  them  should 
shed  a  tear  over  the  poor  little  victim  of  their  wilful  ignorance  in 
the  coffin.  —  Woman^s  Herald  of  Industry. 

The  book  should  be  read  by  every  person  who  has  the  care  of 
children,  especially  of  infants,  and  those  who  have  the  good  sense 
to  adopt  its  suggestions  will  reap  a  rich  reward,  we  believe,  in 
peace  for  themselves  and  comfort  for  the  babies.  —  Boston  Journal. 

The  author  is  one  of  the  most  progressive  writers  on  medical 
subjects  of  the  times.  

FOWLER  &  WELLS  00.,  Publishers,  New  York. 

Boston:  DAMRELL  &  UPHAM. 


COLUMBIA  UNIVERSITY   LIBRARIES 

This  book  is  due  on  the  date  indicated  below,  or  at  the 
expiration  of  a  definite  period  after  the  date  of  borrowing,  as 
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1 

RC77i                                                      P14 

1891 

Page 

Pneumonia  and  typhoid  fevers    a 
study 

Rcn 

1                            PN 

IBSI 

